Basic Information
| Provider Information | |||||||||
| NPI: | 1982240198 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REINER | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | JO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 236 HARMAN RD | ||||||||
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| City: | HALIFAX | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170329732 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7175120042 | ||||||||
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| Practice Location | |||||||||
| Address1: | 102 CHANDRA DR | ||||||||
| Address2: | |||||||||
| City: | DUNCANNON | ||||||||
| State: | PA | ||||||||
| PostalCode: | 170209745 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178344111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/22/2019 | ||||||||
| LastUpdateDate: | 11/22/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | OP008117 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.